Documentation And Transfers - Week 2 Flashcards
(31 cards)
T/F
Items that are not documented in medical records are considered not performed
True
What are the key points for professional practice records and reporting?
-accurate
-complete
-legible
-timely
When charting, what standards should be followed?
Should be:
-complete
-objective
-consistent
-accurate
T/F
Nothing should be left blank when entering information into a patient chart
True
Put a line through it or place a 0
The portion of the body in contact with a horizontal surface, such as the floor
Base of support
The principles of proper body alignment, movement, and balance
Body mechanics
The midpoint or center of the weight of a body or object.
Center of gravity
In a standing adult human, where is the Center of gravity
Midpelvic cavity
Feeble, weak, or otherwise disabled
Debilitated
Lesions that develop over bony prominences when pressure is exerted for any length of time. Also called bedsores
Decubitus ulcers
The act of vomiting
Emesis
Posterior curvature of the spine, characteristic of the thoracic spinal segments
Kyphotic
An imaginary line that extends from the Center of gravity to the base of support
Line of gravity
Anterior curvature of the spine, characteristic of both the cervical and lumbar spinal segments
Lordotic
A transient state of cerebral anoxia and low blood pressure occurring when an individual assumes a standing posture. Same as postural hypotension
*lack of oxygen to the brain
Orthostatic hypotension
An induced state of quiet, calmness, or sleep as by means of a sedative or hypnotic medication
Sedation
When lifting, where should a person bend?
Knees instead of waist
What is more effective, pulling or pushing?
Pulling
What precautions must be taken when moving or transferring a patient?
-ID patient
-introduce yourself
-request patient information from nurse
-verify patients ability to move
T/F
You should never move a patient without enough assistance
True
What are some ways to assess patient mobility?
-deviations from correct body alignment
-immobility or limitations in range of joint motion
-the ability to walk
-respiratory, cardiovascular, metabolic, and musculoskeletal problems
What are some ways to prevent possible patient injury?
-always lower the bed
-secure the rails
-place no skid slippers on patient
-raise foot supports on wheelchair
When transporting patients in a wheelchair, how do you enter an elevator?
Back into the elevator
What side of the patient should you assist on if needed?
The patients weaker side